Crisis residential treatment: An alternative to hospitalization

Fields, Steven M.; Weisman, Gilbert K.

doi:10.1002/yd.23319650305

Cited by 3 publications

(3 citation statements)

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“…People are expected to continue in their regular daily activities and use community resources, including medical therapy, which is considered less stigmatizing and disruptive than admission to a psychiatric ward, and should facilitate a smoother discharge to community. The normative and less restrictive environment of an RCU also provides a more realistic context for assessment of functioning, and may allow for better development of interpersonal skills (Fields & Weisman, 1995).…”

Section: What Is the Idea?mentioning

confidence: 99%

“…Residential crisis units (RCU) have been described in mental health literature for almost 30 years (Bond et al,1989;Brunton & Hawthorne, 1989;Budson, 1994;Fields & Weisman, 1995;Gibbons, 1986;Hartmann & Sullivan, 1996;Hyde et al, 1987;Kresky-Wolff, Mathews, Kalibat, & Mosher, 1984;Lamb & Lamb, 1984;Leaman, 1987;MacCarthy et al, 1989;Moltzen, Gurevitz, Rappaport, & Goldman, 1986;Mosher, Menn, & Mathews, 1975;Simpson, Hyde, & Faragher, 1989;Warner, 1995;Weisman, 1985). Various terms are used in the literature to describe this general model, including: crisis hostels, safe houses, residential crisis programs, psychiatric health facilities, etc.…”

Section: Introductionmentioning

confidence: 99%

“…al., 1975;Weisman, 1985). Although the number of these units increased in the 1980s (Fields & Weisman, 1995), currently they are not widely used (Rissmeyer, 1985;Warner, 1995).…”

Section: Introductionmentioning

confidence: 99%

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Residential Crisis Units. Are We Missing Out on a Good Idea?

McCabe

Butterill²,

Goering³

2004

Canadian Journal of Community Mental Health

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Residential Crisis Units (RCU) are non-hospital-based facilities that provide mental health crisis intervention. This paper reviews the RCU literature base and finds good evidence of the ability of RCUs to function as alternatives to hospitalization for many consumers, with equivalent effectiveness and for significantly less cost. Despite this promising research, the RCU model has not been widely adopted. Using two crisis units as case examples as well as key informant interviews, this paper explores factors affecting the lack of dissemination and potential barriers to the growth of the RCU model.

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Section: What Is the Idea?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Residential Crisis Units. Are We Missing Out on a Good Idea?

McCabe

Butterill²,

Goering³

2004

Canadian Journal of Community Mental Health

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Primary Care for Mentally Ill Adults in Acute Residential Treatment Facilities

Chafetz

Collins-Bride

2017

Issues in Mental Health Nursing

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Psychiatric bed capacity has decreased nationally with an impact on the number and the types of patients admitted to acute in-patient units. Acute residential programs provide alternatives to hospitals for patients with problems that do not meet criteria for admission. However, these settings may not have resources to respond to the medical co-morbidities associated with severe mental illness. To understand the medical needs of patients in these settings, this research examined data from a nurse-managed primary care outreach service. Prevalent problems included acute issues and chronic disorders associated with severe mental illness. In multivariate analyses, demographic and substance related factors contributed to all chronic illness. However, age was the over-riding predictor of cardio-metabolic disorders. Drug abuse consistently predicted HIV/AIDS and HCV risk. Findings demonstrate that patients diverted to alternative forms of acute psychiatric care are no less in need of medical services than those admitted to hospitals. This underscores the importance of primary care that is provided at the site of acute residential treatment and integrated with overall care.

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Clinical Trial of Wellness Training

Chafetz

White²,

Collins-Bride³

et al. 2008

Journal of Nervous &Amp; Mental Disease

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This randomized controlled trial examined benefits of adding active health promotion to basic primary care (BPC) services for SMI adults. It compared BPC with BPC plus wellness training (WT), a 12 months intervention promoting individual skills in self-management. Three hundred nine participants enrolled during short-term residential treatment completed baseline assessments and were assigned to treatment groups, before discharge. Outcomes of perceived health status (SF-36), global assessment of function, and ratings of self-efficacy were assessed at follow-up interviews at 6, 12, and 18 months. The intent-to-treat analysis employed multilevel regression to examine differences by group on outcomes across time, controlling for health related covariates. The WT group showed significantly better outcomes on the SF-36 physical functioning and general health scales. Findings affirm ability of SMI adults to benefit from active health promotion.

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Crisis residential treatment: An alternative to hospitalization

Abstract: Alternatives to psychiatric hospitalization include such programs as La Posada in San Francisco—a cost‐effective model of crisis residential treatment that combines crisis intervention with therapy.

Cited by 3 publications

References 2 publications

Residential Crisis Units. Are We Missing Out on a Good Idea?

Residential Crisis Units. Are We Missing Out on a Good Idea?

Primary Care for Mentally Ill Adults in Acute Residential Treatment Facilities

Clinical Trial of Wellness Training

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